1 rich Libsyn https://www.libsyn.com 90 600 In this episode, James, Steve, and Greg explore the structure and implications of developer joint ventures in physician-owned medical real estate. They outline how these partnerships typically originate, including scenarios where developers control land, work alongside health systems, or engage directly with physician groups early in the process. The conversation focuses on the key tradeoffs involved in partnering with developers, including majority ownership structures, governance control, and differing return expectations. They explain how these dynamics can impact everything from lease rates to long-term exit strategies, and why projects with developer ownership may lose the benefits of owner-occupied financing. The group also emphasizes the importance of early-stage due diligence, transparency in development costs, and negotiating operating agreements before becoming financially committed. For physician groups considering a development partnership, this episode provides a clear framework for evaluating opportunities, managing risk, and protecting long-term value. Join the next session of Physician-Owned Real Estate 101 at the CPOMP 2027 Annual Meeting, January 21-23, 2027 at the Omni Scottsdale Resort and Spa at Montelucia. Register at&amp;nbsp;www.CPOMP.org/cpomp-2027.&amp;nbsp; &amp;nbsp; The Physician-Owned Medical Real Estate Podcast http://cpomp.libsyn.com/website <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/40994420/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/item/40994420